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Red Rocket Run Registration Form
Poker Run on September 21st, 2019 - 1st bike out at Papa's Leather in Bethany at 11am
Stop 2: Rihana's Last Stop 12195 State Highway 152, Binger, OK
Stop 3: The Old Plantation Restaurant 140 e. Lake Dr., Medicine Park, OK
Stop 4: La Luna Cantina 2812 Highway 62 Service Rd., Newcastle, OK
Last Stop: Margarita Island 8139 NW 10th St., OKC
Email address *
Name/s *
Address *
Phone number *
Rider, Passenger or Both *
T-SHIRT OR TANK TOP SIZE (additional $15) *Must be paid in advance* *
I will pay: *
LIABILITY WAIVER: I, the undersigned, understand that I am fully responsible for any and all liabilities caused by or concerning me during this event. I further agree that any sponsor of this event shall not be held liable in any event or under any circumstances. I ride at my own risk. *
SIGNATURE
Enter the date signed below *
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A copy of your responses will be emailed to the address you provided.
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